Automatic Leukocyte Classification
Transcription
Automatic Leukocyte Classification
P. Suapang and S. Chivaprecha 39 Automatic Leukocyte Classification Piyamas Suapang 1 and Sorawat Chivaprecha2 , ABSTRACT Numbers of white blood cells in different classes help doctors to diagnose patients. A technique for automating the differential count of white blood cell is presented. The proposed system takes an input, color image of stained peripheral blood smears. The process involves segmentation, feature extraction and classification. The segmentation procedure, a novel simple algorithm, is proposed for localization of white blood cells and the different cell components are separated with automatic thresholding. Features extracted from the segmented nucleus are motivated by the visual cues of shape, color and texture. This research uses the Artificial Neural Network for implemention and uses the different combinations of feature sets. The results presented here are based on trials conducted with normal cells. For training the classifiers, a library set of 233 patterns is used. The tested data consists of 134 samples and produced correct classification rate close to 88.10 %. Keywords: Leukocyte Segmentation; Leukocyte Classification; White Blood Cell Count 1. INTRODUCTION A typical blood microscope image has been digitalized by a CCD and acquired by a frame-grabber system [1]. The microscope inspection of blood slides provides important qualitative and quantitative information concerning the presence of hematic pathologies as shown in figure 1. Principal cells present in the blood are red blood cells, and the white cells (leucocytes). Leucocyte cells containing granules are called granulocytes (composed by neutrophil, basophil, eosinophil). Cells without granules are called agranulocytes (lymphocyte and monocyte). The percentage of leucocytes in human blood typically ranges between the following values: neutrophils 50-70%. eosinophils 1-5%. basophils 0-1%. monocytes 2-10%, lymphocytes 20.45% [2]. These cells provide the major defense against infections in the organism and their specific concentrations can help specialists to discriminate the presence or not of very important families of pathologies (i.e. the presence of mononuManuscript received on June 9, 2015 ; revised on December 12, 2015. 1 Biomedical Engineering Program, Department of Physics, Rangsit University, Bangkok, Thailand. Email: piyamas suapang@.yahoo.com 2 Department of Telecommunications Engineering, Engineering Faculty, King Mongkuts Institute of Technology Ladkrabang, Bangkok, Thailand. Email: kcsorawa@telecom.kmitl.ac.th Fig.1:: A typical blood microscope image. (a) (b) (c) (d) (e) Fig.2:: Examples of five major groups of human leukocytes in peripheral blood: (a) Eosinophil (b) Basophil (c) Lymphocyte (d) Neutrophil and (e) Mmonocyte. cleosis, hepatitis diabetes, allergy, arthritis, anaemia, and many others). Some typical examples of these types are shown in figure 2, where neutrophils has small granules in cytoplasm and only one nucleus, with a variable number of lobes; eosinophils has bilobed nucleus and coarse cytoplasmic granules; basophils include many cytoplasmic granules over the nucleus; monocytes has a kidney-shaped nucleus and slightly basophilic in the cytoplasm and lymphocytes has round nucleus and is devoid of specific granules. Table I summarizes the characteristic features of these cells and their relative size and number in normal blood. From decades this operation is performed by experienced operators, which basically perform two main analyses. The first is the qualitative study of the morphology of the cells and it gives information of degenerative and tumoral pathologies such as leukemia. The second approach is quantitative and it consists of differential counting the white blood’s cells. Unfortunately, the accuracy of cell classification and counting is strongly affected by individual operator’s capabilities. In particular, the identification and the differential count of blood’s cells is a time-consuming and repetitive task that can be influenced by the operator’s accuracy and tiredness. The automated classification of the peripheral white blood cells (leukocytes) has been the subject of this study. The peripheral blood leukocytes provide a very interesting and chal- 40 INTERNATIONAL JOURNAL OF APPLIED BIOMEDICAL ENGINEERING VOL.8, NO.1 2015 Table 1:: The features of Leukocytes Granulocytes Features Diameter Nucleus Neutrophil Eosinophil Basophil Monocyte Lymphocyte 12-15 m 12-15 m 12-15 m 12-20 m 6-18 m Kidney shaped Round U-shaped, S-shaped, Segmented, bilobed 2-5 segmented Granules Agranulocytes Azurophilic granules; , Poorly shown, S-shaped Eosinophilic granules Specific granules Basophilc granules, Basophilic of different sizes bluish-gray Scanty, light blue works can be used to classify the white blood cells in these regions of interest and their relative accuracies can be compared. 2. METHODOLOGY 2. 1 Segmentation Fig.3:: The structure of modules composing the leukocytes classification system. lenging medium for the study for biological image processing and classification. The taxonomy of the various blood cells has had a classic history in histology [3], and a qualitative, verbally descriptive taxonomy has been established in the hematological literature [4]. One of the rapidly emerging areas of pattern recognition has been medical picture processing and image classification [5], [6]. Radioisotope scanning [7], [8], breast cancer diagnosis [9], the classification of Papanicolaou smears [10], chromosome analysis [11], [12], and the classification of white blood cells [1316], have all proven to some extent to be amenable to pattern recognition techniques. The goal of this research is to determine whether all steps in a fully automated system for the classification of white blood cells from microscopic images can be realized using image processing and supervised learning techniques. As a component of this, we will attempt to determine which of a number of investigated classification techniques provides the best automated classifier for the classification of white blood cells into their five major types (Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils), based on a limited data set of visual images. This paper focuses on the automated detection and classification (the haematologists’ term for this process is differentiation) of white blood cells from color images captured from a microscope. Figure 3 shows useful regions of interest, each centered on a white blood cell, can be automatically extracted from color microscopic images. Secondly, image processing techniques can be used to automatically extract a feature set from these regions of interest that is useful for the classification of white blood cells. Finally, supervised classification techniques such as neural net- First, the captured image file was split into its three component bands (red green and blue as shown in figure 4). The result was three grayscale files one for each of the red green and blue components of the image captured by the camera. Histogram analysis was used to examine three grayscale components (corresponding to the red, green and blue bands) of 30 images covering all five basic white blood cell types. It was found that the green component was consistently a better discriminator between the purple nuclear material and the rest of the image. We did utilize thresholding to produce a binary bitmap image from the green band bitmap for each image. An automatic threshold value was selected by minimum value to discriminate between nuclear and nonnuclear pixels, as every white blood cell has a nucleus. We used only the green band for this nuclear thresholding, as, in this band, the nuclear material is much darker than either the cytoplasm (with the exception of basophilic cytoplasm) or the background. Experimentation showed that an automatic threshold value of 95 (on a scale of 0-256) gave an acceptable discrimination between nuclear and nonnuclear pixels, leaving nuclear pixels black on a white background as shown in figure 5. Due to edge effects on the captured images (the camera produced noticeable dark bands at the very edges of the images, as seen in figure 4 and figure 5), there were many nonnuclear pixels around the perimeter of the image. An edge erosion filter, which simply set all of the pixels within 3 pixels of the edge of the image to white, was developed and used. This Fig.4:: (a) Raw captured image and (b, c, d) 3 single color components. P. Suapang and S. Chivaprecha 41 Fig.7:: Extracted image of white blood cell. Fig.8:: Finding circle. Fig.5:: Green component image and thresholded bitmap. Fig.6:: The results of (a) thresholding and (b) erosion. some headroom. The rectangular aspect ratio was later found to be unnecessary, a square ROI would have been simpler. This process produced a series of smaller images like the one in figure 7. Most white blood cells are roughly circular in shape, though some (monocytes, in particular) may deviate significantly from the circular). For the purposes of obtaining a good feature set, representative of the features of the cell only, we chose to try to find the largest circular area entirely within the cell. This process produced finding circle as shown in figure 8. 2. 2 Feature Extraction removed the dark bands around the edge of the image as shown in figure 6. As a first step towards identifying a region of interest, an algorithm was developed to identify blobs (continuous connected groups of blackpresumably nuclearpixels) within a bitmap file and print out their details, including number of pixels in the blob and centroid (arithmetic mean of the x and y position values) of the blob. The x value of the centroid was found by summing the x values of all pixels in a blob and dividing the sum by the number of points in the blob. The y value of the centroid was found in a similar fashion, summing the y values of all pixels in the blob and dividing by the number of pixels. The (x, y) location represented by this centroid was used as the centre of the blob of nuclear material. The centre (cx, cy) and number of points were recorded for each blob found. A Region of interest (ROI) was defined around the centre (cx, cy) of each blob. This region of interest was defined to be a rectangle 110 by 110 pixels in size. The size of the ROI was originally chosen to preserve the aspect ratio of the camera’s image, be large enough to accommodate the largest leukocyte with The segmented circular cell region was processed on a pixel by pixel basis and statistical information (mean, standard deviation, maximum value and minimum value) was collected for each of 5 color bands. The color bands were the red, green and blue captured by the hardware (camera + composite video capture card) together with the color ratios green/red and green/blue. The number of pixels within the circle was also determined. The red, blue and green band pixel values were just the 8 bit (0-255) values captured by Matrox Morphis (MOR/2VD/84*) capture card. The green/blue color ratio for a given pixel was determined by dividing the green band value by the blue band value. The green/red value was similarly obtained by dividing the red band value by the blue band value. 2. 3 Neural Network Architecture for Pattern Classification The neural networks are processing structures ”consisting of many interconnecting processing elements (neurons)”. These artificial neurons are connected together to form neural networks. An ex- 42 INTERNATIONAL JOURNAL OF APPLIED BIOMEDICAL ENGINEERING VOL.8, NO.1 2015 Table 2:: The features of Leukocytes. Number of pixels in circle Number of circle edge pixels Number of nuclear pixels X̄ S.D. X̄ S.D. X̄ S.D. Neu 6808.31 1362.10 290.58 29.17 2426.45 533.36 Eosi 12607.39 3747.76 393.17 60.45 4546.22 1388.94 Baso 14357.71 4464.72 420.29 62.47 5700.71 925.84 Lym 5084.51 942.12 251.25 23.19 2481.21 463.56 Mono 10430.25 5068.42 355.58 65.98 3582.04 603.78 Number of nuclear edge pixels Number of nuclear pixels/ pixels in circle Number of circle edge pixels Number of nuclear edge pixels/ Number of X̄ S.D. X̄ S.D. X̄ S.D. Neu 655.02 276.75 0.36 0.04 2.24 0.86 Eosi 1018.26 400.98 0.36 0.06 2.56 0.86 Baso 982.14 535.10 0.41 0.06 2.24 0.90 Lym 473.26 378.39 0.49 0.02 1.85 1.33 Mono 798.72 276.92 0.370.07 0.07 2.28 0.81 (Number of nuclear edge pixels/ Number of nuclear edge pixels/ Number of circle edge pixels/ Number of nuclear pixels)/ Number of nuclear pixels Number of pixels in circle (Number of circle edge pixels/ Number of pixels in circle) X̄ S.D. X̄ S.D. X̄ S.D. Neu 0.27 0.11 0.04 0.001 6.33 2.52 Eosi 0.24 0.10 0.03 0.010 7.39 3.34 Baso 0.17 0.07 0.03 0.001 5.85 3.39 Lym 0.19 0.13 0.05 0.001 3.83 2.85 Mono 0.23 0.10 0.04 0.001 6.52 2.79 Red pixel value X̄ Green pixel value S.D. X̄ Blue pixel value S.D. X̄ S.D. Neu 12188791.40 82769.36 12359095.73 46540.65 12162288.74 81247.04 Eosi 11800272.17 234635.82 12124605.65 134409.78 11834367.09 197198.01 Baso 11721998.29 103397.88 12110284.43 72337.32 11657510.29 127915.85 Lym 12181788.78 88758.59 12354375.56 53731.40 12138643.53 82304.77 Mono 11913040.83 598702.58 12153595.91 596521.49 11874442.01 601881.29 Green pixel value / Green pixel value / Blue pixel value Nuclear Texture Red pixel value X̄ S.D. X̄ S.D. X̄ S.D. Neu 0.41 0.06 0.45 0.05 12.98185884 2.991436519 Eosi 0.55 0.05 0.53 0.03 23.86688696 5.068758689 Baso 0.46 0.04 0.49 0.04 22.76578014 2.466787328 Lym 0.39 0.07 0.45 0.07 13.22287196 3.682092695 Mono 0.46 0.06 0.50 0.06 17.98124036 3.637544634 tremely simple example of such a network is shown in figure 9. In this example, a number of inputs are each connected to each of a number of neurons in an intermediate layer. The neurons in the hidden layer are each connected to all the output neurons (one in this case). This is an example of a fully connected feed forward neural network. Feed forward networks of this type can be trained by back propagation. This is a procedure that trains the network by making small adjustments to the weights of each neuron in P. Suapang and S. Chivaprecha 43 Table 3:: The results of testing by Leukocytes features set. Leukocytes Correct Samples Incorrect Numbers % Numbers % Neutrophils 39 35 89.74 4 10.26 Eosinophils 30 23 76.67 7 23.33 Basophils 5 4 80.00 1 20.00 Lymphocytes 30 30 100.00 0 0.00 Monocytes 30 26 90.00 4 10.00 Total 134 118 88.10 16 11.90 Fig.9:: Architecture of a Three-layered Pattern Classification Neural Network. Fig.10:: Training process. 3. RESULTS AND DISCUSSION the direction that reduces the error at that neuron’s output. The input layer used white blood cell feature 15 features. The hidden layer was designed by 5 nodes. Finally, the results of output layer were equal the number of white blood cells in different classes and determined from the probability of class membership. The whole process can be schematized for training process and testing process as showed in figures 10 and 11, respectively. Figure 12 shows that the discrimination between nuclear and nonnuclear pixels is selected after an automatic threshold value. As seen in table II, these leukocytes features is determined from the basis of the feature set. These parameters can be used as efficient features for inputs of classifiers. The test applied these leukocytes features are carried out and the results are shown in table III. The results presented here are based on trials conducted with normal cells. For training the classifiers, a library set of 233 patterns is used. The tested data consists of 134 samples and produced correct classification rate close to 88.10%. 44 INTERNATIONAL JOURNAL OF APPLIED BIOMEDICAL ENGINEERING Fig.11:: Testing process. VOL.8, NO.1 2015 Hence, it is the only block to the automation of the entire process from data acquisition (which could now have been performed automatically if an automated microscope stage was affordable or at hand), through white cell segmentation, to classification. Counting the classified instances is seen as trivial. And, use of other features in the blood cell. Some of these features will require higher resolution images. In particular, the images acquired for this research were of too low a resolution to show the characteristic granularity that is a key element in the haematologists differentiation of the granular leukocytes (neutrophils, eosinophils and basophils from lymphocytes and monocytes. Whats more, Extension to other types of white blood cells. Blast cells, for instance, are characteristic of certain types of Leukemia and would indicate further tests if found in blood. Being able to automatically classify these and flag samples accordingly could be a real boon to haematologists. This would of course require leukemic blood with these unusual cells in evidence to be available and some image acquisition (and manual classification by haematologists for the training set). And, tests of statistical significance. Tests of the statistical significance of the differences in performance of the different classification algorithms could be conducted, given a number of trials with different data sets. 5. ACKNOWLEDGEMENT Fig.12:: The nucleus segmentation. This work is partially supported by Rangsit Research Institute at Rangsit University, Department of Telecommunications Engineering at King Mongkuts Institute of Technology Ladkrabang, and Department of Industry Physics and Medical Instrument at King Mongkuts University of Technology North Bangkok. The authors also gratefully acknowledge the helpful comments and suggestions of the reviewers, which have improved the presentation. 4. CONCLUSION References This paper presented a methodology to achieve a fully automated detection and classification of leucocytes by microscope color images identifying the following classes: Basophil, Eosinophil, Lymphocyte, Monocyte and Neutrophil. Experiments show that the final classification module implemented by means of a parallel classifier composed by back propagation neural classifiers achieves an accurate solution with minor computational complexity than traditional nearest neighbor classifier. 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Winsberg et al., “Detection of radiographic abnormalities in mammograms by means of optical scanning and computer analysis,” Radiology, vol. 89, pp. 211-215, 1967. [37] I. T. Young, “Automated leukocyte recognition,” Ph.D. dissertation, Massachusetts Inst. Technol., Cambridge, 1969. 46 INTERNATIONAL JOURNAL OF APPLIED BIOMEDICAL ENGINEERING Piyamas Suapang received bachelor degree of physical sciences from Nareasuan University, Phitsanulok, Thailand in 1999. In 2004, she graduated master degree of sciences in medical instrumentation from King Mongkut’s University of Technology North Bangkok, Bangkok, Thailand in 2004. She achieved doctoral degree of electrical engineering from King Mongkuts Institute of Technology Ladkrabang, Bangkok, Thailand in 2014. Along the past ten years, she has focused my research on medical image processing. In addition, her current research are computer vision, pattern recognition and computer-assisted diagnosis (CAD) in medicine. Sorawat Chivaprecha received bachelor degree of telecommunication engineering from Suranaree University of Technology, NakhonRatchasima, Thailand in 1998. Afterward, he obtained master and doctoral degrees of electrical engineering from King Mongkuts Institute of Technology Ladkrabang, Bangkok, Thailand, in 2002 and 2008, respectively. His research interests are digital filter design and implementation, VLSI in the area of digital signal processing, digital system design and FPGA applications, informatics, software defined radio technology and remote sensing satellite system. VOL.8, NO.1 2015